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Organization
JOSE M LOPEZ, D.M.D., PA
Active
Organization
JOSE M LOPEZ, D.M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M. LOPEZ D.M.D. (OWNER/DENTIST)
(915) 544-1600
Entity
Organization
Contact information
Practice address
1717 N. BROWN STREET, SUITE 1B, EL PASO, TX 79902-4730
(915) 544-1600
(915) 544-1610
Mailing address
1717 N. BROWN STREET, SUITE 1B, EL PASO, TX 79902-4730
(915) 544-1600
(915) 544-1610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090635603
—
TX
Enumeration date
11/04/2010
Last updated
03/23/2016
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